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Table of Contents for
A Fragile Revolution: Consumers and Psychiatric Survivors Confront the Power of the Mental Health System by Barbara Everett



The research questions

A word about methodology

Some caveats

1. Nothing changes and no one gets better

Becoming a professional helper

What is mental illness?

Help for the patients

Nothing changes and no one gets better

Control battles

Who’s in charge of the staff?

Helpless and hopeless

In conclusion

2. From insanity to mental illness to psychiatric disability


Mental illness

Anti-psychiatric thought and feminist criticism

The therapeutic community


Psychiatric disability

In conclusion

3. Power and protest

Power inequity and oppression


For your own good

Power as protest


Power as a contractual relationship

New social movements

Personal empowerment and social action

When things go wrong

In conclusion

4. A new power contract?


Another group of partners

The making of policy

The forgotten partners

In conclusion

5. A special bond

Telling stories

Four stories

Sadly mistaken

A special bond

The personal becomes political

In conclusion

6. Them


They hate emotion

It’s just a job

They are abusive

But they’re more like us than they think

The system

In conclusion

7. Us

Getting involved

Is this a social movement

Consumer? Survivor? Consumer\survivor? Or just a person?

When some of “us” joined “them”

The Ontario Psychiatric Survivors Alliance

In conclusion

8. Partnership

The threat and the promise of partnership

The problems with partnership

The personal costs

Feeling used

If it’s not partnership, what is it?

Will mental health reform work?

In conclusion

9. What do consumers and survivors believe in?

It’s a chicken or egg thing

What needs to change?

What are consumers and survivors going to do about it?

Disability rights

In conclusion

10. Final thoughts and understandings

So, what’s it all about?

A legacy of violence

The power of powerless people

The powerlessness of powerful people

Things change and people get better

A political identity in search of a future

In conclusion


Appendix I. Research methodology

Sample selection

A global view of the respondents

Data collection techniques and sources

Data analysis